Maintenance of Behavioural Change Flashcards
LEARN.
What is non-adherence?
Failure or refusal to comply with prescribed rules, regulations, or therapeutic regimens.
Rational Non-Adherence is caused by?
Potential side effects, financial barriers and the patient-practitioner relationship
What are the potential side effects of taking the medications they’re prescribed?
Dizziness, stomach problems, sexual difficulties, memory problems
What are the financial barriers?
Simply, they cannot afford it and so cannot adhere to it. This is not much of an issue in countries with free healthcare.
How can the patient-practitioner relationship cause non-adherence?
The level of trust they have with their medical practitioner effects how likely they are to trust them. For example, if they take a “practitioner-centered approach” they client feels they may have no power and affect non-adherence.
What is the strength of rational non-adherence?
A study found that when Spain started charging for medication costs in 2012, non-adherence increased for older people who needed expensive drugs.
This shows the rational basis exists, as it proves financial barriers effect this.
What is the weakness of rational non-adherence?
It is based on an inaccurate view of clients, as it ASSUMES that a client has done cost-benefit analysis to make their choice.
However, most health choices aren’t made this way, so it is inaccurate.
How does stress affect non-adherence?
1) Non-adherence is higher in poorer societies e.g. diabetes mediction
2) Stress is associated with organisation, so some people may forget to take medication due to stress.
3) A clients attention span narrows when stressed, so they’ll usually latch onto key words when getting medical advice over comfort.
4) Stress is also associated with memory, so even if the medical advice is understood, adherence isn’t possible if it’s forgotten.
What is a strength of stress in non-adherence?
There is research evidence to support that stress has a role in non-adherence.
This is because It was found that almost 10,000 clients with diabetes / HBP that the highest levels of stress caused them to not take their medication.
What is a weakness of stress in non-adherence?
Long term affects of stress on non-adherence isn’t completely understood, as studies tend to look at the short-term effects.
We EXPECT it to increase, but there’s no way of knowing.
How does social support improve adherence?
We are more likely to adhere when we have support from other people e.g. friends, family, peers
How can a lack of social support from health professionals create non-adherence?
They’re the experts, so if we don’t get information for them, we can’t adhere.
With that, they’re expected to give at least a bit of emotional support, which increases trust.
What is the strength of social support in terms of adherence?
Lots of evidence has proven a lack of support is linked to non-adherence which is lower in people who live alone.
What is the weakness of social support in terms of adherence?
Professionals are only a single factor that influences non-adherence, which is widespread.
This is partly due to interventions usually only addressing one factor at a time. It simply isn’t enough.
What is learned helplessness?
Belief there is no control to change, leading to ignoring chances to do so.
